Fox, Craig Douglas

Fox, Craig Douglas is an sole proprietor health care provider with primary practice located at 2 Wilson Ave , Washington PA 15301-3335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fox, Craig Douglas can be contacted via phone (724) 228-4550.

Contact Information

Primary practice address
2 Wilson Ave Washington PA 15301-3335
Fax: (724) 228-3746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD025638E Pennsylvania

Profile Details

NPI number 1194701821
LBN Legal business name Fox, Craig Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Jan 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194701821 NPPES
Pennsylvania Other 017701100 BLACK LUNG
Pennsylvania MEDICAID 000898547 BLACK LUNG
Pennsylvania Other 080008703 BLACK LUNG

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